The bully triad consists of the bully, the bystander, and the victim. When bullying occurs, the toxic relationship between members creates moral injury. Moral injury occurs in individuals and groups when forced participation of events occur either through active or passive means, where the violation of member values and beliefs or spirituality is disrespected and reduces the meaning and significance of life. Moral injury for the bully triad members creates feelings of emotional guilt and shame, betrayal, and cognitive dissonance. Post-traumatic stress disorder (PTSD), suicidal ideation, bullying, and victims of war, abuse, rape, and trauma all have a causal link to moral injury, which makes treatment and recovery difficult.